EBUKA IBUOKA MD
NPI 1053004259
Family Medicine in Rochester, MN

Active since June 01, 2023PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2024, Oct 25, 2023, Jun 1, 2023 (3 updates tracked since 2023).

About Ebuka Ibuoka Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBUKA IBUOKA MD (NPI 1053004259) is an individual family medicine provider in Rochester, Minnesota, licensed in Minnesota (77558) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053004259
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEBUKA IBUOKACredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 1, 2023
Last NPPES UpdateAugust 9, 20243 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
NPI 1053004259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 77558 Licensed in MN · 33353
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

200 1ST ST SW, Rochester, MN 55905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ebuka Ibuoka Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183082092
PECOS Enrollment IDI20240823002201
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Dermatology
200 1ST ST SW
ROCHESTER, MN 55905
Physician Assistant
200 1ST ST SW
ROCHESTER, MN 55905
Genetic Counselor, MS
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053004259, enumerated as an "individual" on June 01, 2023.

The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.

Family Medicine with taxonomy code 207Q00000X.

Ebuka Ibuoka is affiliated with: MAYO CLINIC HOSPITAL ROCHESTER.